Elective Rotation Application
Please complete after reviewing the Elective Rotation – General Information for Residents information sheet and
forward to Dr. Lowry with copy to IMCHIEFS 3-6 months prior to your elective rotation.
NAME:______________________ PGY:______________________
1. What block/dates will the elective be taken? ______________________________________
2. Briefly describe the elective.
I plan an elective rotation in radiology. As the development of skills necessary to read and
interpret plain radiographs and a basic knowledge of CT scan interpretation is vital to becoming
a proficient internist I believe that a rotation through the radiology department will help me to
facilitate these goals. I will report to the radiology department where I will get daily assignments
to a senior radiology resident or staff to work alongside them in interpreting plain films and CT
scans. I will also spend some time if possible in observation of other commonly ordered
radiographic tests such as abdominal ultrasound and MRI (focusing attention on MRI of the
thorax, brain when possible).
3. What are the specific goals for the elective? (What will you have accomplished by the end of
the month?)
Medical Knowledge:
1. Understand and master interpretation of chest roentgenology.
2. Understand and have basic knowledge of interpretation of abdominal roentgenology.
3. Develop ability to recognize common abnormal findings on brain computed
tomography images including hemorrhage, ischemia, mass lesions and
ventriculomegaly.
4. Understand principles of image “quality” and the implication on ability to formulate
readings.
5. Develop ability to locate key anatomical structures on abdominal and pelvic CT to
understand “normals” and work to develop understanding of “abnormals”
6. Understand and have basic knowledge of interpretation key abnormal findings on
chest computed tomography including infiltrative processes, bronchiectasis, mass
lesions, lymphadenopathy and mainstem pulmonary emboli.
Patient Care:
1. Develop an understanding of the appropriateness for referral for common imaging
procedures.
2. Understand the importance of providing pertinent clinical information when ordering
imaging procedures to aid in formulating a radiologic diagnosis.
Professionalism:
1. Behave in an ethical manner
2. Respect patient confidentiality
3. Report promptly to assigned reading rooms to aid in completing the daily work load,
and helping to contact ordering physicians when appropriate.
Practice-Based Learning and Improvement
1. Recognize my own knowledge deficits and pursue further education in these areas
2. Be able to utilize various types of technology to access medical information
Systems-Based Learning and Improvement:
1. Advocate for quality patient care
2. Begin to understand the financial impact our behaviors (ordering multiple imaging
procedures, ordering ineffective imaging procedures) have on the cost of health care
provided to our patients))
Interpersonal skills:
1. Discuss cases in clear and concise manner.
2. Accurate and thorough electronic documentation when applicable.
3. Communicate effectively with staff and residents in the department.
4. Faculty Mentor (responsible for evaluation) ____________________________________
5. Does the Mentor know that you will be assigning them this responsibility? ______________
__________(they must send a one-line email to Dr. Lowry accepting this task)
6. Reading List: list 8 specific journal articles as well as 2 book chapters suggested by your
faculty mentor or that you have found to be relevant to your elective’s learning goals.
(Please attach list to this application or type in below.)
Book Chapters:
Felson’s Principles of Chest Roentgenology (by Lawrence Goodman, MD) Publisher:
Elsevier Health Sciences Pub. Date: December 2006 ISBN-13: 9781416029236
Chapter 3: The Normal Chest X-ray
Chapter 4: Chest CT: Putting it together
Journal Articles:
1. Jean Jeudy, Charles S. White, Reginald F. Munden, and Phillip M. Boiselle
Management of Small (3–5-mm) Pulmonary Nodules at Chest CT: Global Survey of
Thoracic Radiologists
Radiology 2008 247: 847-853. Published online before print April 15 2008,
10.1148/radiol.2473061514
2. Debra A. Gervais, Diane A. Levis, Peter F. Hahn, Raul N. Uppot, Ronald S. Arellano, and
Peter R. Mueller
Adjunctive Intrapleural Tissue Plasminogen Activator Administered via Chest Tubes
Placed with Imaging Guidance: Effectiveness and Risk for Hemorrhage
Radiology 2008 246: 956-963 (DOI: 10.1148/radiol.2463070235)
3. David S. Gierada, Thomas K. Pilgram, Melissa Ford, Richard M. Fagerstrom, Timothy R.
Church, Hrudaya Nath, Kavita Garg, and Diane C. Strollo
Lung Cancer: Interobserver Agreement on Interpretation of Pulmonary Findings at LowDose CT Screening
Radiology 2008 246: 265-272. Published online before print November 16 2007,
10.1148/radiol.2461062097
4. C Isabela S. Silva, Nestor L. Müller, David A. Lynch, Douglas Curran-Everett, Kevin K.
Brown, Kyung Soo Lee, Man Pyo Chung, and Andrew Churg
Chronic Hypersensitivity Pneumonitis: Differentiation from Idiopathic Pulmonary Fibrosis
and Nonspecific Interstitial Pneumonia by Using Thin-Section CT
Radiology 2008 246: 288-297 (DOI: 10.1148/radiol.2453061881)
5. H. Dirk Sostman, Paul D. Stein, Alexander Gottschalk, Fadi Matta, Russell Hull, and Larry
Goodman
Acute Pulmonary Embolism: Sensitivity and Specificity of Ventilation-Perfusion
Scintigraphy in PIOPED II Study
Radiology 2008 246: 941-946. Published online before print January 14 2008,
10.1148/radiol.2463070270
6. Valencia King, Anjali A. Vaze, Chaya S. Moskowitz, Larry J. Smith, and Michelle S.
Ginsberg
D-Dimer Assay to Exclude Pulmonary Embolism in High-Risk Oncologic Population:
Correlation with CT Pulmonary Angiography in an Urgent Care Setting
The results presented here show that, at least in oncologic patients, STA Liatest
immunoturbidimetric D-dimer assay results have a high negative predictive value and
sensitivity for pulmonary embolism.
Radiology 2008 247: 854-861 (DOI: 10.1148/radiol.2473070939)
7. Sanjeeva P. Kalva, Jyothi P. Jagannathan, Peter F. Hahn, and Stephan T. Wicky
Venous Thromboembolism: Indirect CT Venography during CT Pulmonary
Angiography—Should the Pelvis Be Imaged?
Radiology 2008 246: 605-611 (DOI: 10.1148/radiol.2462070319)
8. Michael T. Lu, Tianxi Cai, Hale Ersoy, Amanda G. Whitmore, Rene Quiroz, Samuel Z.
Goldhaber, and Frank J. Rybicki
Interval Increase in Right-Left Ventricular Diameter Ratios at CT as a Predictor of 30-day
Mortality after Acute Pulmonary Embolism: Initial Experience
Radiology 2008 246: 281-287 (DOI: 10.1148/radiol.2461062004)
7. Are you planning to do a research elective? ________
a. Who will be directing the research?___________________________________________
b. Have you discussed the project with the person directing the research? ______________
c. Briefly describe the project.
___________________________________________________________________________
___________________________________________________________________________
d. Has the Human Subjects Committee approval been obtained? _____________________
e. Has HIPPA approval been obtained? _________________________________________
8. Are you planning on writing a paper (review, abstract, other) _________________________
a. If so, briefly describe the paper.
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
b. Which faculty member will be supervising the writing? __________________________
c. Do you expect to complete the paper by the end of the elective? ____________________
If not, describe what progress will be made?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
9. Are you planning an international elective? ______
a. Have you filled out the GME application for an international elective? __________; have
you received approval? ___________
b. Have you reviewed the International Elective General Information for Residents
information sheet and complied with all necessary preparations? __________
c. Have you contacted the Travel Audit Office and the Office of International Programs?
_________
10. Are you planning a reading elective? _______
a. Please attach a complete reading list as above.